Organization Active NPI

Regional Cancer Care Associates

  • Hematology & Oncology Physician
  • Holmdel, NJ
National Provider Identifier
1275808248
Registry record updated Apr 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
REGIONAL CANCER CARE ASSOCIATES
Practice address
723 N Beers St
Suite 1E
Holmdel, NJ 07733-1517
Phone
(732) 739-8644
Fax
(732) 739-4438
NPI assigned
Mar 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Terrill Jordan
Title
President/Ceo
Phone
(201) 510-0910

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

723 N Beers St
Suite 1E
Holmdel, NJ 07733-1517

Mailing address

326 Professional View Dr
BLDG 300
Freehold, NJ 07728-7904
Phone (732) 431-8400

Other names 1

  • Northern New Jersey Cancer Associates Former legal business name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D0674146Regional Cancer Care Associates at Holmdel723 N Beers Street, Holmdel, NJ 07733ComplianceOct 11, 2026

National Provider Directory

National Provider Directory

Locations

326 Professional View Dr
Bldg 300
Freehold, NJ 07728
Phone (732) 431-8400

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1331251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713657600000",
    "number": "1275808248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 PROFESSIONAL VIEW DR",
            "address_2": "BLDG 300",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077287904",
            "telephone_number": "732-431-8400",
            "fax_number": "732-431-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 N BEERS ST",
            "address_2": "SUITE 1E",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331517",
            "telephone_number": "732-739-8644",
            "fax_number": "732-739-4438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL CANCER CARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-09",
        "last_updated": "2024-04-21",
        "certification_date": "2024-04-21",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "TERRILL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "201-510-0910"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern New Jersey Cancer Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Holmdel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.